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DMMMSU RETC F013 Application For Ethics Review of A New Protocol

This study investigates the effects of social media on young children's social development. It will explore major factors that may influence whether social media affects children and determine any positive or negative impacts. The study will involve 300 participants and be conducted from February to March at a university in the Philippines.

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uzamarknielcon
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445 views

DMMMSU RETC F013 Application For Ethics Review of A New Protocol

This study investigates the effects of social media on young children's social development. It will explore major factors that may influence whether social media affects children and determine any positive or negative impacts. The study will involve 300 participants and be conducted from February to March at a university in the Philippines.

Uploaded by

uzamarknielcon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for Ethics Review of a New

Protocol

Instructions to the Researcher: Please accomplish this form and ensure that
you have included in your submission the documents that you checked below
(in Section 3. Checklist of Documents).

1. General Information
*Title of Study Effects of Social Media to
Young Children's Social
Development
*Study Site Don Mariano Marcos
*RETC Code
Memorial State
(To be provided
University - South La
by RETC)
Union Campus
ROSELYN B. CAMPOS Contact *Tel No:
MARJORIE B.BOADO Information *Mobile No:
RENZ MARTIN A. DANAO 09094950884
*Name of
LAIKA MAE M. FERERRA 09469576899
Researcher)
CATHERINE R. FLORES 09476493271
09384563183
09917119742
Fax No:
*Email:
[email protected]
mmmsu.edu.ph
[email protected]
*Co-researcher mmmsu.edu.ph
(if any)
[email protected]
mmmsu.edu.ph
[email protected]
mmmsu.edu.ph
[email protected]
mmsu.edu.ph
*Institution DON MARIANO MARCOS MEMORIAL STATE UNIVERSITY
*Address of BRGY. CONSOLACION, AGOO, LA UNION
Institution
☐ Clinical Trial (Sponsored) ☐ Biomedical Research
(Retrospective, Prospective and
diagnostic studies)
☐ Clinical Trials (Researcher- ☐ Stem Cell Research
*Type of Study initiated)
☐ Health Operations Research ☐ Genetic Research
(Health Programs and Policies)
☐ Public Health / ☐ Social / Behavioral Research
Epidemiologic Research

DMMMSU-RETC-F013
Rev.00 (06.01.2021)
Application for Ethics Review of a New
Protocol

☐ Others:
_________________________________________________________
☐ Multicenter ☐ Multicenter
☐ Single Site
(International) (National)
☐ Self-funded ☐ Sponsored by a
Pharmaceutical Company
*Source of Specify:
☐Government-Funded
Funding
☐ Scholarship/Research Grant
☐ Institution-Funded
☐ Others
________________________________________________________
*Duration of the Start date: February No. of study 300
study End date: March participants
*Has the Research undergone Technical ☐ Yes (please attach technical review
Review? results)
☐ No
*Has the Research been submitted to ☐ Yes ☐ No
another REC?
2. Brief Description of the study
This study investigate on how does social media can affect Young Children's Social
Development including TikTok, Facebook, Instagram and etc. Additionally, to explore some
of the major factors that combine if there’s an effect to children. It is also to determine the
positive and negative effects on students.

3. Checklist of Documents
Basic requirements: Supplementary Documents:
☐ Letter request for review ☐ Questionnaire (if applicable)

☐ Endorsement/Referral Letter ☐ Data Collection Forms (if applicable)

☐ Full proposal / study protocol ☐ Philippine FDA Marketing Authorization


or Import License (if applicable)
☐ Technical Review Approval ☐ Permit/s for special populations (please
specify)

DMMMSU-RETC-F013
Rev.00 (06.01.2021)
Application for Ethics Review of a New
Protocol

☐ Curriculum Vitae of Researcher/s ______________________________


☐ Informed Consent Form ☐ Others (please specify)
☐ English version ______________________________
☐ Filipino version ______________________________
☐ Others:
________________
☐Assent Form (if applicable)
☒ English version
☒ Filipino version
☒ Others
________________

Accomplish
______________________________
Signature
Date submitted
---------------------- To be filled by the RETC Secretariat ----------------------
Completeness of
☐ Complete
Document
☐ Incomplete

Remarks (place stamp here)

Date Received:
Received by:

DMMMSU-RETC-F013
Rev.00 (06.01.2021)

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